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; �-, <br />CITY OF �VEREPP <br />ELECPRICAL WIR7rH� PERMPP API'LICATION <br />JOB ADDRFSS �� z Lc.,,-�e I (./l • <br />T�Ac7r � ��` �u � P r..�.-�- �-. <br />I' :��1' NY • I I : <br />ELECT2T_CAL CX1pTrRAClbR <br />NNPRAC_roR' S ADDRESS <br />LIC�NSE hU. <br />�wr�¢rrzsTr�r,�rox <br />s �, � <br />C� <br />na� /'/Z-`1v <br />cyi <br />FEF. �J <br />ZlA <br />EXPIRATInN UA'�' <br />�toc� r�o. � 5 �F — �l �' 9r <br />VALUE QF T+7�RK (do not include taxes) <br />(for �a�e!�sc.ial �+ork) <br />USE OF BUILDIPIG <br />NOTE: tJAC 296-46-140 *�,; res that plans for electrical work at eciucational, <br />institutional or healtt� cat:e facilities be aporoved by the State of <br />Washington. Applicants with such jois �wst shaa the State anproved <br />nlans before a City of E�mrett permit will be issued. <br />Nc7i�;: I4iring in non chaellings is �,;red tA be in condi:i.t. <br />ia,. � : �� <br />_ I -0�;�!'�ir.a� .J�`�G —_ — <br />•_T— <br />SIG�IED: <br />12/15/89 <br />D�'m. -/ Z — C% U <br />